CAJ | 학술논문

目的总结超低位大骨瓣开颅颞肌下减压术辅助亚低温在重型颅脑创伤伴脑疝患者中的应用价值.方法按随机原则,将重型颅脑创伤伴脑疝患者88例分成研究组48例,对照组40例,两组病例手术方法均采用超低位大骨瓣开颅颞肌下减压术,术后研究组辅以亚低温治疗.术后对两组病例的GCS评分、脑池显示率、瞳孔回缩率和治疗结果进行监测和分析.结果术后GCS评分、脑池显示率、瞳孔回缩率和治疗结果等指标,研究组与对照组差异有统计学意义(P＜0.05).结论超低位大骨瓣开颅颞肌下减压,能有效缓冲重型颅脑创伤伴脑疝患者颅内压,同时辅助亚低温治疗,有利于降低脑氧消耗、减轻脑水肿和促进神经功能的恢复,在重型颅脑创伤伴脑疝患者中应用具有重要的临床应用价值.
목적 총결초저위대골판개로섭기하감압술보조아저온재중형로뇌창상반뇌산환자중적응용개치.방법 안수궤원칙,장중형로뇌창상반뇌산환자88례분성연구조48례,대조조40례,량조병례수술방법균채용초저위대골판개로섭기하감압술,술후연구조보이아저온치료.술후대량조병례적GCS평분、뇌지현시솔、동공회축솔화치료결과진행감측화분석.결과 술후GCS평분、뇌지현시솔、동공회축솔화치료결과등지표,연구조여대조조차이유통계학의의(P＜0.05).결론 초저위대골판개로섭기하감압,능유효완충중형로뇌창상반뇌산환자로내압,동시보조아저온치료,유리우강저뇌양소모、감경뇌수종화촉진신경공능적회복,재중형로뇌창상반뇌산환자중응용구유중요적림상응용개치.
Objective To investigate cranial decompression under temporal muscle in very-low position with large bone flap combined with mild hypothermia for severe cranial trauma.Methods 88 severe brain injury patients (GCS ≤ 8 ) were randomly divided into two groups,mild hypothermia group( n =48) and non-mild hypothermia group ( n =40),both presented with cranial decompression under temporal muscle in very-low position with large bone flap.Data of patients,GCS increment,rate of brain cistern display,rate of pupil shrink and therapeutic effect were ananlyzed.Results The treatment group showed better effect compared with the oontrol group(P＜0.05).Condusion The therapy of cranial decompression under teniporal muscle in very-low position with large bone flap combined with mild hypothennia showed the advantage of depressing intracranial pressure,reducing crerebral edema and improving the therapeutic effect of severe brain injury patients.